Active NPI
Matthew D Jones, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gilbert, AZ
National Provider Identifier
1215106497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D4961
- Practice address
- 1534 E Ray Rd
Suite #119
Gilbert, AZ 85296-4429 - Phone
- (480) 812-1500
- Fax
- (480) 812-1825
- NPI assigned
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D4961 | AZ | Primary |
Addresses
Primary practice location
1534 E Ray Rd
Suite #119
Gilbert, AZ 85296-4429
Mailing address
1534 E Ray Rd
Suite #119
Gilbert, AZ 85296-4429
Phone (480) 812-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4961 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1215106497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 E RAY RD",
"address_2": "SUITE #119",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964429",
"telephone_number": "480-812-1500",
"fax_number": "480-812-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 E RAY RD",
"address_2": "SUITE #119",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964429",
"telephone_number": "480-812-1500",
"fax_number": "480-812-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MATTHEW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D4961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.